Get Ny Doh-360cuv 2018-2026

The NY DOH-360CUV form is essential for documenting water system operations, particularly for systems that treat water with chlorine and/or ultraviolet radiation. This guide provides step-by-step instructions to help users complete this form accurately and efficiently online.

Follow the steps to successfully complete the NY DOH-360CUV form.

1. Click ‘Get Form’ button to obtain the form and open it in your editor.
2. Fill in the public water system ID and name along with the county where the water system operates. Ensure that all information is accurate and reflects the current operational data.
3. Enter the reporting month and year in the specified MM/YYYY format. This information is critical for tracking compliance over time.
4. In the gaseous section, provide the date and the source(s) of treatment being used. Specify the type of source water, indicating whether it is surface, ground, or another category.
5. Document the chlorine treatment details, including treated water volume, cylinder weight, and chlorine usage per day in gallons and pounds respectively.
6. In the ultraviolet radiation section, record the free chlorine hypochlorite residual at the entry point, specifying the amount added in gallons or quarts.
7. Indicate if the UV unit intensity sleeve was cleaned, and document the operator's initials to confirm the checks made on the system.
8. Complete the microbiological sampling section by documenting the sample type, location, date taken, and the results for free and total chlorine residual alongside any E. coli or coliform outcomes.
9. Address any violations that may have occurred during the reporting period, checking off reasons and providing explanations as needed.
10. Once the form is fully completed, users can save changes, download, print, or share the form as necessary.

Complete your NY DOH-360CUV form online today for accurate and timely reporting.